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Insurance specialist vs insurance verification specialist

The differences between insurance specialists and insurance verification specialists can be seen in a few details. Each job has different responsibilities and duties. Additionally, an insurance specialist has an average salary of $34,281, which is higher than the $33,043 average annual salary of an insurance verification specialist.

The top three skills for an insurance specialist include patients, customer service and insurance coverage. The most important skills for an insurance verification specialist are patients, insurance verification, and customer service.

Insurance specialist vs insurance verification specialist overview

Insurance SpecialistInsurance Verification Specialist
Yearly salary$34,281$33,043
Hourly rate$16.48$15.89
Growth rate-3%6%
Number of jobs98,59571,688
Job satisfaction--
Most common degreeBachelor's Degree, 42%Associate Degree, 27%
Average age4446
Years of experience4-

What does an insurance specialist do?

An insurance specialist is an individual responsible for interpreting insurance plans and providing risk management advice to clients and wealth managers. Insurance specialists must have a full understanding of risk management to craft a comprehensive solution that integrates well with the client's portfolio. They need to manage their clients' accounts and should maintain contact with clients after the application process. Insurance specialists must ensure that government insurance programs comply with federal laws, regulations, and contracts within the healthcare industry.

What does an insurance verification specialist do?

An insurance verification specialist is responsible for confirming a patient's insurance details and eligibility to receive medical care services. Insurance verification specialists review the insurance documents of the patients, including its coverage and limitations, and escalate concerns to the supervisor for immediate resolution. They process paperwork accordingly upon coordinating with the patients and attending health professionals. An insurance verification specialist must have excellent communication and organizational skills, finishing administrative tasks efficiently under minimal supervision.

Insurance specialist vs insurance verification specialist salary

Insurance specialists and insurance verification specialists have different pay scales, as shown below.

Insurance SpecialistInsurance Verification Specialist
Average salary$34,281$33,043
Salary rangeBetween $27,000 And $42,000Between $28,000 And $37,000
Highest paying CityNew York, NYMadison, WI
Highest paying stateNew HampshireNew Hampshire
Best paying companyDeloitteSt. Luke's Cataract & Laser Institute
Best paying industryGovernmentPharmaceutical

Differences between insurance specialist and insurance verification specialist education

There are a few differences between an insurance specialist and an insurance verification specialist in terms of educational background:

Insurance SpecialistInsurance Verification Specialist
Most common degreeBachelor's Degree, 42%Associate Degree, 27%
Most common majorBusinessHealth Care Administration
Most common college-University of Pennsylvania

Insurance specialist vs insurance verification specialist demographics

Here are the differences between insurance specialists' and insurance verification specialists' demographics:

Insurance SpecialistInsurance Verification Specialist
Average age4446
Gender ratioMale, 22.1% Female, 77.9%Male, 11.4% Female, 88.6%
Race ratioBlack or African American, 13.8% Unknown, 4.3% Hispanic or Latino, 14.4% Asian, 3.9% White, 63.2% American Indian and Alaska Native, 0.5%Black or African American, 9.3% Unknown, 3.6% Hispanic or Latino, 16.0% Asian, 4.9% White, 66.1% American Indian and Alaska Native, 0.1%
LGBT Percentage11%7%

Differences between insurance specialist and insurance verification specialist duties and responsibilities

Insurance specialist example responsibilities.

  • Manage database by processing renewals and endorsements.
  • Maintain confidentiality and adhere HIPPA guidelines with handling patients' information
  • Make recommendations on operationalization and oversight of specific marketplace enrollment policies.
  • Verify various health insurance plan benefit information and eligibility for patients with chronic illnesses.
  • Identify third party patient eligibility for Medicaid, Medicare, private insurance and alternate resources.
  • Enter and prepare advanced beneficiary notices base on diagnosis and procedure codes for Medicare cover patients.
  • Show more

Insurance verification specialist example responsibilities.

  • Check CPT and ICD-10 codes with LCD and policies from multiple insurance companies to make sure procedures will be paid.
  • Support the patient privacy/confidentiality policies and regulations under HIPAA for patients and their medical records.
  • Confirm correct charges base on HCPCS codes.
  • Assist callers as well with questions about their benefits, terms and conditions of medical plans, appeals and grievances.
  • Provide medical record support in the absence of EMR: assist clinics and hospitals in obtaining medical records in appropriate format.
  • Document outbound communication from providers and veterans.
  • Show more

Insurance specialist vs insurance verification specialist skills

Common insurance specialist skills
  • Patients, 18%
  • Customer Service, 11%
  • Insurance Coverage, 4%
  • Insurance Verification, 4%
  • Life Insurance, 4%
  • Data Entry, 4%
Common insurance verification specialist skills
  • Patients, 25%
  • Insurance Verification, 15%
  • Customer Service, 7%
  • Insurance Eligibility, 5%
  • Data Entry, 4%
  • Medical Terminology, 4%

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